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首页> 外文期刊>Vascular and endovascular surgery >Intraoperative coil embolization reduces transplant nephrectomy transfusion requirement.
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Intraoperative coil embolization reduces transplant nephrectomy transfusion requirement.

机译：术中线圈栓塞术减少了移植肾切除术的输血需求。

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摘要

Transplant nephrectomy for failed renal transplants can be challenging. Patients often have numerous comorbidities, and the procedure may be associated with considerable blood loss. This study was performed to determine if intraoperative coil embolization of the transplant renal artery reduces blood loss associated with transplant nephrectomy. Data were collected retrospectively on 13 consecutive transplant nephrectomies performed immediately following coil embolization and compared with the 13 most recently performed consecutive transplant nephrectomies without coil embolization. The groups were compared for operative time, estimated blood loss, and transfusion requirements. Mean age was 45 in both groups. There were no major complications in either group. Operative times were not significantly different, although open operative time was reduced in the embolization group (113 vs 96 minutes). Estimated blood loss was 465 mL versus 198 mL (P = .035); packed red blood cell requirements during the operation and subsequent 48 hours were 1.85 units versus 0.31 units (P = .008) and during the operation and subsequent hospital stay were 2.3 units versus 0.69 units (P = .027) in the nonembolized group and embolized group, respectively. Intraoperative embolization of the transplant renal artery immediately prior to surgery facilitates transplant nephrectomy by significantly reducing intraoperative blood loss and transfusion requirements while slightly reducing open operative time.
机译：对于失败的肾移植，移植肾切除术可能具有挑战性。患者通常有许多合并症，并且该过程可能与大量失血有关。进行这项研究是为了确定术中移植肾动脉的线圈栓塞术是否可以减少与移植肾切除术相关的失血量。回顾性收集在线圈栓塞后立即进行的13个连续移植肾切除术的数据，并与13个最近进行的无线圈栓塞的连续移植肾切除术进行比较。比较各组的手术时间，估计失血量和输血需求。两组的平均年龄均为45岁。两组均无重大并发症。尽管栓塞组的开放手术时间减少了（113 vs 96分钟），但手术时间没有显着差异。估计失血量为465 mL，而失血为198 mL（P = .035）;非栓塞组和栓塞组在手术期间和随后的48小时内充血红细胞需求量为1.85单位对0.31单位（P = .008），在手术及随后的住院期间为2.3单位对0.69单位（P = .027）。组。术前立即对移植肾动脉进行术中栓塞，可显着减少术中失血量和输血量，同时略微减少开放手术时间，从而有利于移植肾切除术。

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